| Orangetown Family Practice | |
|
97 Route 303 Tappan NY 10983-2514 | |
| (845) 359-5005 | |
| Not Available |
| Full Name | Orangetown Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 97 Route 303, Tappan, New York |
| Authorized Official Name and Position | Vincent M Ibelli (PARTNER) |
| Authorized Official Contact | 8453595005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orangetown Family Practice 97 Route 303 Tappan NY 10983-2514 Ph: (845) 359-5005 | Orangetown Family Practice 97 Route 303 Tappan NY 10983-2514 Ph: (845) 359-5005 |
| NPI Number | 1306884440 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306884440 | NPI | - | NPPES |
| CE2055 | Other | NY | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 167148-1 (New York) | Primary |
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